Inhibition of monoamine oxidase by moclobemide: effects on monoamine metabolism and secretion of anterior pituitary hormones and cortisol in healthy volunteers

Br J Clin Pharmacol. 1989 Feb;27(2):243-55. doi: 10.1111/j.1365-2125.1989.tb05357.x.

Abstract

1. Single oral doses (100, 200 and 300 mg) of moclobemide, a reversible inhibitor of monoamine oxidase (MAO) with predominant effects on the A-type of the enzyme, were administered to eight young, healthy male volunteers in a double-blind, random-order, placebo-controlled study. The investigation was thereafter continued in an open fashion by administering a single 10 mg dose of the MAO-B inhibitor deprenyl to the same subjects. 2. Deamination of catecholamines was powerfully and dose-dependently inhibited by moclobemide, as evidenced by up to 40% decreases in the urinary excretion of deaminated catecholamine metabolites, corresponding increases in the excretion of non-deaminated, methylated metabolites, and up to 79% average decreases in the plasma concentration of 3,4-dihydroxyphenylglycol (DHPG), a deaminated metabolite of noradrenaline (NA), and up to 75% average decreases in the plasma concentrations of 3,4-dihydroxyphenylacetic acid (DOPAC), a deaminated metabolite of dopamine. The urinary excretion of 5-hydroxyindoleacetic acid (5-HIAA) was only slightly reduced. In contrast, deprenyl, in a dose which almost totally inhibited MAO-B activity in blood platelets, did not appreciably affect the plasma concentrations of DHPG or DOPAC. 3. Due to the rapid, reversible, dose-dependent and MAO-A specific effect of moclobemide on plasma concentrations of DHPG, it is suggested that DHPG in plasma may be a useful indicator of the magnitude and duration of MAO-A inhibition in man. 4. Sympatho-adrenal function at rest was not significantly altered by moclobemide, as judged by unchanged plasma catecholamine concentrations and stable blood pressure and heart rate recordings. 5. Monoamine oxidase type B activity in blood platelets was slightly (less than 30%) and transiently inhibited after moclobemide. 6. The secretion of prolactin was dose-dependently stimulated by moclobemide, whereas the plasma concentrations of growth hormone (hGH) and cortisol remained unchanged.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 3,4-Dihydroxyphenylacetic Acid / blood
  • Adult
  • Benzamides / pharmacology*
  • Blood Platelets / enzymology
  • Catecholamines / metabolism*
  • Dose-Response Relationship, Drug
  • Double-Blind Method
  • Epinephrine / blood
  • Homovanillic Acid / urine
  • Humans
  • Hydrocortisone / metabolism*
  • Hydroxyindoleacetic Acid / urine
  • Male
  • Methoxyhydroxyphenylglycol / analogs & derivatives
  • Methoxyhydroxyphenylglycol / blood
  • Moclobemide
  • Monoamine Oxidase / blood
  • Monoamine Oxidase Inhibitors / pharmacology*
  • Norepinephrine / blood
  • Pituitary Hormones, Anterior / metabolism*
  • Random Allocation
  • Selegiline / pharmacology
  • Vanilmandelic Acid / urine

Substances

  • Benzamides
  • Catecholamines
  • Monoamine Oxidase Inhibitors
  • Pituitary Hormones, Anterior
  • 3,4-Dihydroxyphenylacetic Acid
  • Selegiline
  • Methoxyhydroxyphenylglycol
  • Hydroxyindoleacetic Acid
  • Vanilmandelic Acid
  • Monoamine Oxidase
  • Moclobemide
  • 3,4-dihydroxyphenylglycol
  • Hydrocortisone
  • Norepinephrine
  • Homovanillic Acid
  • Epinephrine